| NPI | 1699977751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 074224) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD036690) |
| 207Q00000X Family Medicine (Licence: IA 38695) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2018-10-11 |