| NPI | 1235517798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D85857) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03417) |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2023-05-18 |