| NPI | 1831546282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 297576) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03657) |
| 207R00000X Internal Medicine (Licence: NY 297576-1) | |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2021-06-10 |