| NPI | 1114306776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI DO00922) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI LP03468) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2018-08-29 |