| NPI | 1629055728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 74212) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 74212) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2015-01-15 |