| NPI | 1720056054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: KS 04-37233) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2004027810) |
| Enumeration Date | 2006-03-11 |
| Last Update Date | 2015-11-20 |