| NPI | 1558621359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI DO00951) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 268795) |
| 208000000X Pediatrics (Licence: RI DO00951) | |
| 208000000X Pediatrics (Licence: MA 268795) | |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2021-04-12 |