| NPI | 1316189442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 260187) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI MD19383) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2016-10-05 |