NPI | 1922480821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD16324) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 264650) |
Enumeration Date | 2015-06-26 |
Last Update Date | 2021-09-15 |