| NPI | 1740789338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 88791) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04332) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2024-01-16 |