| NPI | 1225355183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0081305) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD044301) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2025-04-29 |