| NPI | 1609010271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0074996) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101253049) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2022-02-08 |