| NPI | 1528408804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD044572) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0082375) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2017-09-22 |