| NPI | 1003223686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ AZ57739) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03123) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2026-02-23 |