NPI | 1366732901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D77750) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD042340) |
207Q00000X Family Medicine (Licence: VA 0101256341) | |
Enumeration Date | 2011-04-16 |
Last Update Date | 2021-05-27 |