| NPI | 1083747091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD039995) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0070923) |
| 207Q00000X Family Medicine (Licence: TX M9666) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2019-06-20 |