| NPI | 1841899887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ 20-19110) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: AZ 20-19110) |
| 2083S0010X Preventive Medicine, Sports Medicine (Licence: AZ 20-10110) | |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2022-11-22 |