| NPI | 1205077716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 2446358) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP 01424) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2020-10-28 |