| NPI | 1336735919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC RN1038159) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD R227451) |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2023-02-23 |