| NPI | 1649700253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 287925) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04090) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-10-03 |