| NPI | 1124018569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD10884) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 223529) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2020-04-21 |