| NPI | 1225084064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD10860) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 213376) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2023-12-19 |