| NPI | 1427673458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD20134) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 95838) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2024-08-07 |