| NPI | 1710198494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D65186) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD036546) |
| 207Q00000X Family Medicine (Licence: VA 0101240670) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2019-07-10 |