| NPI | 1386708923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 61557) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD9511) |
| 207R00000X Internal Medicine (Licence: MA 74972) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2018-07-13 |