| NPI | 1548294218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD14673) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 228635) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2022-10-31 |