NPI | 1699055566 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ 49716) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R72910) |
Enumeration Date | 2011-08-24 |
Last Update Date | 2024-04-01 |