| NPI | 1851467161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD14681) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 037919) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2014-07-14 |