| NPI | 1699745877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MN 40482) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MN 40482) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME104941) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2024-03-29 |