| NPI | 1427214451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0071545) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116019166) |
| 207Q00000X Family Medicine (Licence: VA 0101247426) | |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2024-01-16 |