| NPI | 1962757039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI DO00823) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 253113) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2018-07-31 |