| NPI | 1477781656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 250715) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI LP01658) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2013-03-01 |