| NPI | 1144667270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 266885) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP02805) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2018-11-29 |