| NPI | 1841451531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD16267) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 242527) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2018-09-18 |