NPI | 1467747816 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 258751) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI LP02230) |
207Q00000X Family Medicine (Licence: RI MD14642) | |
Enumeration Date | 2011-06-14 |
Last Update Date | 2021-02-18 |