| NPI | 1821353012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: CT 56450) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT202091) |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: RI LP03400) | |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2024-05-29 |