| NPI | 1740621739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NH 18537) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 256379) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2018-07-27 |