| NPI | 1629165147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NC 200901755) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME0093104) |
| 207R00000X Internal Medicine (Licence: FL ME93104) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2014-05-21 |