| NPI | 1073925988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD15976) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03117) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2017-07-19 |