| NPI | 1669627337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D79610) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD038477) |
| Enumeration Date | 2008-11-23 |
| Last Update Date | 2024-03-11 |