| NPI | 1184774200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD13072) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 230847) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2009-09-03 |