| NPI | 1295722031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 80734) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI DO00580) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2026-01-15 |