NPI | 1760878623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WV 27768) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 27768) |
Enumeration Date | 2015-04-07 |
Last Update Date | 2022-04-08 |