| NPI | 1518525369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD20115) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101271350) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2026-02-12 |