| NPI | 1396808416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD 038257) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 010248722) |
| 207Q00000X Family Medicine (Licence: MD D0071332) | |
| 207Q00000X Family Medicine (Licence: DC 038257) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2022-01-07 |