| NPI | 1912260746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD17028) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036139335) |
| 207R00000X Internal Medicine (Licence: MO 2012012805) | |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2020-07-07 |