| NPI | 1265879555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD15813) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MD P28821) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2023-04-09 |