| NPI | 1134342298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1015245) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD12534) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2023-10-19 |