| NPI | 1922620418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD19826) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 10070650) |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2024-07-01 |