| NPI | 1841957727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI PA01398) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA8475) |
| Enumeration Date | 2021-11-26 |
| Last Update Date | 2022-02-24 |