| NPI | 1518193689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD039136) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A107702) |
| 207Q00000X Family Medicine (Licence: MD D0071617) | |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2012-09-02 |