| NPI | 1871770297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: SC 31459) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 000000) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2012-01-18 |