| NPI | 1659647188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CT 56533) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 56533) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2019-12-23 |