| NPI | 1285252072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD19436) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP05079) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2024-06-26 |