| NPI | 1376873711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0077060) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD34010) |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2021-02-26 |