| NPI | 1972863447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: ME MD22889) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2015-00436) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2019-07-26 |