| NPI | 1265042733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD210011510) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP05080) |
| Enumeration Date | 2020-08-08 |
| Last Update Date | 2023-07-20 |