| NPI | 1760610059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA OS016956) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT013089) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0102203132) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2014-06-24 |