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 |