| NPI | 1508921834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D23522) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD9528) |
| 207Q00000X Family Medicine (Licence: VA 0101033499) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2011-11-14 |