| NPI | 1639303258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD15534) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD446548) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2024-10-25 |