| NPI | 1861621369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NM MD2011-0564) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM RS2009-0372) |
| 207R00000X Internal Medicine (Licence: PA MT193378) | |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2019-11-08 |