| NPI | 1518025477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0064035) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD33802) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2021-07-14 |