| NPI | 1780105544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD18054) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301112768) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2022-04-16 |