| NPI | 1215322797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD210002783) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0095907) |
| 207Q00000X Family Medicine (Licence: VA 0101277413) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2025-03-14 |