| NPI | 1679774988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 49861) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD06152) |
| 207R00000X Internal Medicine (Licence: CT 023987) | |
| 207R00000X Internal Medicine (Licence: PA MD027333E) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2010-07-05 |