| NPI | 1588611123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD10045) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2006-00268) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2022-08-11 |