| NPI | 1154826568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD600001724) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 311323) |
| 207Q00000X Family Medicine (Licence: VA 0101282675) | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2025-03-06 |