| NPI | 1821445248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD16796) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03650) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2019-08-16 |