| NPI | 1073142527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI DO01561) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 1026759) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2026-07-06 |