| NPI | 1336305622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD038513) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11013083A) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2012-11-15 |