| NPI | 1831418599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine (Licence: RI DO00926) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102202630) |
| 207Q00000X Family Medicine (Licence: LA 305058) | |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2018-07-03 |