| NPI | 1851375067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME 107147) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S0302) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX S0302) | |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2021-11-02 |