| NPI | 1669516043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0068580) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD038289) |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2019-03-04 |