| NPI | 1407551971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1027100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP06061) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2026-06-09 |