| NPI | 1619329976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 267225) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267225) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2022-03-31 |