| NPI | 1114344165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD d93235) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101262536) |
| 207Q00000X Family Medicine (Licence: DC MD045457) | |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2021-06-16 |