NPI | 1962723205 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD16669) |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: RI MD16669) |
Enumeration Date | 2010-06-22 |
Last Update Date | 2024-07-12 |