| NPI | 1477780195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 278359) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD13975) |
| Enumeration Date | 2009-06-20 |
| Last Update Date | 2020-02-18 |