| NPI | 1457764854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301507312) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301507312) |
| 207R00000X Internal Medicine (Licence: MD D85035) | |
| 207R00000X Internal Medicine (Licence: RI LP03219) | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2024-04-24 |