| NPI | 1821104290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD13569) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI LP00927) |
| 207Q00000X Family Medicine (Licence: MA 239888) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2011-09-22 |