| NPI | 1124710355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH DA SILVA Ap RN 401-258-2579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-05-25 |