| NPI | 1043997232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0105874) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP06075) |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2026-07-17 |