NPI | 1104878065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD047674) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101237027) |
207Q00000X Family Medicine (Licence: MD D44855) | |
207Q00000X Family Medicine (Licence: VA 0101237027) | |
Enumeration Date | 2006-05-17 |
Last Update Date | 2021-12-17 |