| NPI | 1144244963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD17774) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO MD112761) |
| 207Q00000X Family Medicine (Licence: MA 230283) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2024-01-12 |