| NPI | 1649513904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D81841) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD044408) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2021-06-23 |