| NPI | 1821582024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD18396) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 238204) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2022-09-06 |