| NPI | 1083096366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D91656) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03517) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2021-12-01 |