| NPI | 1881031011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS018006) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI DO00832) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2019-10-01 |