| NPI | 1487068268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101261777) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D83052) |
| 207Q00000X Family Medicine (Licence: DC MD045207) | |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2021-05-27 |