| NPI | 1780029090 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ 48561) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R72805) | 
| Enumeration Date | 2013-05-01 | 
| Last Update Date | 2017-05-04 |