NPI | 1962069146 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CO DR.0068254) |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WA MD61531919) |
207R00000X Internal Medicine (Licence: IA R-11536) | |
Enumeration Date | 2019-05-23 |
Last Update Date | 2024-05-23 |