| NPI | 1235576828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: DC MD044596) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT204528) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2022-01-03 |