| NPI | 1477083061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 284148) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD17842) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-03-16 |