| NPI | 1710059514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G48362) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101254255) |
| 207Q00000X Family Medicine (Licence: DC MD041108) | |
| 207Q00000X Family Medicine (Licence: MD D0074280) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2021-11-22 |