| NPI | 1043448210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 250061) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP01674) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2012-08-29 |