| NPI | 1417036872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 55149) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD035041) |
| 207Q00000X Family Medicine (Licence: MD D0069703) | |
| Enumeration Date | 2006-11-04 |
| Last Update Date | 2012-10-05 |