| NPI | 1477901254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1023836) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD16652) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2026-02-02 |