| NPI | 1841812740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1013756) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04861) |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2023-07-01 |