| NPI | 1407066723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: DC md5946) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: MD D0074695) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2018-10-31 |