| NPI | 1720039332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: KY 35700) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2023-05-25 |