| NPI | 1609078849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 256784) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD13331) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2021-09-23 |