| NPI | 1760737068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX S0866) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S0866) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: DE C1-0012012) | |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2021-11-08 |