| NPI | 1558520239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD037165) |
| Additional Taxonomies | 174400000X Specialist (Licence: DC MD037165) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2021-07-29 |