| NPI | 1598880460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0066253) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD037787) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-06-17 |