NPI | 1811150238 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD13737) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 253399) |
Enumeration Date | 2008-07-07 |
Last Update Date | 2022-12-05 |