| NPI | 1033182274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0071697) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101236510) |
| 207Q00000X Family Medicine (Licence: PA MD438639) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2012-05-22 |