| NPI | 1720531882 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD17162)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03836)  | 
| Enumeration Date | 2016-07-25 | 
| Last Update Date | 2020-08-10 |