| NPI | 1700223021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PR 19371) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 014405) |
| 207R00000X Internal Medicine (Licence: PR 30593-R) | |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2020-01-01 |