| NPI | 1396789848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101249103) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0062992) |
| 207Q00000X Family Medicine (Licence: DC MD035349) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-02-27 |