Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 198 | RI |
NPI | 1548315328 |
---|---|
Provider Name | Dr. Eva Margaret Ligeri |
First Address | Rehoboth, MA 02769-1001 |
Second Address | Rehoboth, MA 02769-1001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2007 |
Last Update Date | 08/07/2007 |