| NPI | 1457590572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 239475) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI MD13169) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2016-09-08 |