| NPI | 1720567894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0092627) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD210002643) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2025-03-18 |