| NPI | 1356371769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 35758) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP00764) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2010-04-07 |