| NPI | 1720517352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD19108) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 283233) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2023-10-06 |