| NPI | 1164660809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD040158) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0073331) |
| 207Q00000X Family Medicine (Licence: CA A122889) | |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2015-08-25 |