| NPI | 1710408463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 283934) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04141) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2020-11-09 |