| NPI | 1740664457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2018028998) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LT03549) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2022-06-06 |