| NPI | 1790918738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ 46730) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 46730) |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2024-04-02 |