| NPI | 1851639702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: RI MD18839) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI MD18839) |
| 207R00000X Internal Medicine (Licence: CT 56141) | |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2022-10-13 |