| NPI | 1962501858 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 174400000X Specialist (Licence: CA A67610)  | 
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A67610)  | 
| Enumeration Date | 2006-09-21 | 
| Last Update Date | 2020-06-17 |