| NPI | 1114049319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0054135) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD31811) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2018-03-28 |