| NPI | 1689940710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D79791) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101265269) |
| 207Q00000X Family Medicine (Licence: DC MD046844) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2019-04-25 |