| NPI | 1639613300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME141413) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 306050) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2026-06-01 |