| NPI | 1780033811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD16515) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03773) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2019-05-07 |