| NPI | 1265589816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101235829) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD035203) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2008-04-23 |