| NPI | 1396935581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME117713) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D74694) |
| 207Q00000X Family Medicine (Licence: DC MD040879) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2021-11-23 |