| NPI | 1679547939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MN 39475) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MN 39475) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2020-08-13 |