| NPI | 1679734685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD13703) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101263609) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2023-03-16 |