| NPI | 1093244543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD17087) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03974) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2020-06-25 |