| NPI | 1346532017 |
|---|---|
| Former Name | GINA MARIE CAPITONI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C2-0010405) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C-0004804) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2014-11-21 |