| NPI | 1144774399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0116032471) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03824) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2020-01-16 |