| NPI | 1922076736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD09763) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 204590) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2023-12-15 |