| NPI | 1790122984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 273271) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 273271) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 294033) | |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2024-04-10 |