| NPI | 1679563316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 205435) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 205435) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2012-06-15 |