| NPI | 1407085996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD038158) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0069310) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2009-12-23 |