| NPI | 1821291824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OH 35.096465) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 53031) |
| 207R00000X Internal Medicine (Licence: NY 234961-01) | |
| 207R00000X Internal Medicine (Licence: NC 2019-02590) | |
| 207R00000X Internal Medicine (Licence: IA MD46375) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-12-08 |