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 |