| NPI | 1306236914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD M99759) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD047330) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2019-07-22 |