| NPI | 1609354919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 1014205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57245557) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2023-06-27 |