| NPI | 1205329059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 042.0017016) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04331) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2023-07-27 |