| NPI | 1073048096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD17058) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T4058) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2022-06-27 |