| NPI | 1558097519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI CLP05839) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI CLP05839) |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2023-06-23 |