| NPI | 1477739084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D71464) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD037007) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2018-04-23 |