| NPI | 1306092135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D79089) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD039997) |
| 207Q00000X Family Medicine (Licence: VA 0101245978) | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2024-03-29 |