| NPI | 1063868297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 294813) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD17371) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2022-10-26 |