| NPI | 1093193401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD16315) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03446) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2024-01-30 |