| 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 |