| NPI | 1356447692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD038925) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D74974) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2015-11-18 |