| NPI | 1669020210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD18242) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04709) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2022-06-29 |