NPI | 1982688719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 150321) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI MD10216) |
Enumeration Date | 2005-12-05 |
Last Update Date | 2007-07-09 |