| NPI | 1972869899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: GA 78902) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 78902) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2017-10-03 |