| NPI | 1235400516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0052812) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD11879) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |