| NPI | 1609241967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 277308) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD15539) |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2020-04-20 |