| NPI | 1780066340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OH 35147169) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 264015) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2023-07-28 |