| NPI | 1922599299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1021069) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04246) |
| 207R00000X Internal Medicine (Licence: RI MD18460) | |
| 208000000X Pediatrics (Licence: MA 1021069) | |
| 208000000X Pediatrics (Licence: RI LP04246) | |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2024-09-30 |