| NPI | 1609360791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA OS022862) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT018755) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2025-08-08 |