| NPI | 1386717684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D58380) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD034890) |
| 207Q00000X Family Medicine (Licence: CA A61171) | |
| 207Q00000X Family Medicine (Licence: VA 0101248845) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2011-11-14 |