NPI | 1922504604 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD17959) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI LP04412) |
Enumeration Date | 2018-04-02 |
Last Update Date | 2021-09-09 |