| NPI | 1164089249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 289203) |
| Additional Taxonomies | 208600000X Surgery (Licence: RI LP04560) |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2021-06-29 |