| NPI | 1891088985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: GA 080802) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP02225) |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: NC 2016-00460) | |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2021-12-10 |