| NPI | 1619296746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 307702) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN15175) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: GA 073469) | |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2021-12-02 |