| NPI | 1386165801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 64265) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04140) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2022-07-21 |