| NPI | 1790777365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX K1711) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX K1711) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2017-02-14 |