| NPI | 1013557610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI LP04991) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP04991) |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-06-14 |