| NPI | 1922537711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD17203) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03924) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2022-07-21 |