| NPI | 1467981167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0088490) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD047830) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2024-03-30 |