NPI | 1871013839 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 11414333-1205) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI LP04109) |
Enumeration Date | 2017-06-21 |
Last Update Date | 2019-09-12 |