| NPI | 1558355016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 230151) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD11131) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2022-07-21 |