| NPI | 1467012443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0116032869) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI MD19937) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2026-02-18 |