| NPI | 1114226545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI CDO00780) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 272181) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2014-07-14 |