| NPI | 1366543225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 223212) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD11019) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-04-20 |