| NPI | 1316464092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD19115) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 273194) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2023-12-13 |