| NPI | 1962998468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1022776) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD17851) |
| 207R00000X Internal Medicine (Licence: RI LP04455) | |
| Enumeration Date | 2018-07-08 |
| Last Update Date | 2025-07-23 |