| NPI | 1093207201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI LP04318) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD17735) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2021-06-08 |