| NPI | 1457385064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD30616) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME MD27897) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2024-07-09 |