| NPI | 1154363695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD11701) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 224785) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2018-05-15 |