| NPI | 1811125081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD14032) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 257304) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2021-03-31 |