| NPI | 1174046916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD19097) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 305807) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2023-09-11 |