| NPI | 1336630037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD17617) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04272) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2021-05-03 |