| NPI | 1245853696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD19164) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04931) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2023-05-02 |