| NPI | 1346339298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD18672) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301071372) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2022-08-10 |