| NPI | 1184942989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD046793) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY 271656) |
| 207Q00000X Family Medicine (Licence: VA 0101266078) | |
| 207Q00000X Family Medicine (Licence: MD D086420) | |
| 208D00000X General Practice (Licence: OR MD166831) | |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2024-02-29 |