| NPI | 1033109301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 220587) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD15098) |
| 207R00000X Internal Medicine (Licence: RI MD15098) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2019-02-07 |