| NPI | 1629331079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QB0505X (Licence: TX w3872) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TN 56341) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MS 25325) | |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2026-05-29 |