| NPI | 1194012203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 277030) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD14596) |
| Enumeration Date | 2011-07-10 |
| Last Update Date | 2019-10-17 |