| NPI | 1447556295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD042366) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A114387) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2018-04-19 |