| NPI | 1194923193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101250587) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT-191647) |
| 207Q00000X Family Medicine (Licence: DC MD038695) | |
| 207Q00000X Family Medicine (Licence: MD D0071987) | |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2024-05-07 |