| NPI | 1033597679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D84754) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101264856) |
| 207Q00000X Family Medicine (Licence: DC MD045918) | |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2022-01-08 |