| NPI | 1821351867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 287558) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD-202120) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2018-03-17 |