| NPI | 1275570921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD10156) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 160086) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2018-12-02 |