| NPI | 1467664607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 63224) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD045516) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2024-08-20 |