| NPI | 1891176822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD18837) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 263988) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: IL 125-073423) | |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2022-12-09 |