| NPI | 1750511630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IN 01073840A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6150) |
| Enumeration Date | 2009-07-25 |
| Last Update Date | 2014-04-16 |