| NPI | 1366602658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD037392) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D81578) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2016-05-05 |