| NPI | 1982712030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD15225) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 087538) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2024-10-18 |