| NPI | 1174937247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI LP03129) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 273752) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2020-04-23 |