| NPI | 1629483102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A146630) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 260347) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2026-08-13 |