| NPI | 1902078157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PR 15558) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 15558) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2014-02-24 |