| NPI | 1023421948 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI DO00873) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03145) | 
| Enumeration Date | 2014-06-09 | 
| Last Update Date | 2017-12-20 |