| NPI | 1710042981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D47223) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD 60167393) |
| 207Q00000X Family Medicine (Licence: DC MD039471) | |
| 207Q00000X Family Medicine (Licence: VA 0101231424) | |
| 207Q00000X Family Medicine (Licence: SC MD 14060) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2022-02-15 |