| NPI | 1962989301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PR 21533) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 21533) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TN 63555) | |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2024-01-09 |