| NPI | 1265417836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 25390) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI MD10681) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2024-08-20 |