| NPI | 1245427764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101049206) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD20440) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2013-03-05 |