| NPI | 1508489840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1018978) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD19737) |
| 208000000X Pediatrics (Licence: MA 1018978) | |
| 208000000X Pediatrics (Licence: RI MD19737) | |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2024-10-18 |