| NPI | 1578186912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD210003086) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D96351) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2024-10-09 |