| NPI | 1336344357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 1013132) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI MD13028) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2023-09-21 |