| NPI | 1356780886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 299396) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD044689) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2019-11-04 |