| NPI | 1134814510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD21485) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI LP06045) |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2026-09-01 |