| NPI | 1639517170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 17839) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI LP02876) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2023-11-16 |