| NPI | 1588076210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI LP03053) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 62417) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2019-06-05 |