| NPI | 1154319119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0074811) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD036487) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2023-05-05 |