| NPI | 1619122116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD210001739) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0071010) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2024-04-15 |