| NPI | 1457798415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD15339) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP02911) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2016-07-07 |