| NPI | 1508023037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 308608) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD040004) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2021-03-23 |