| NPI | 1730613019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD210002929) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A161943) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2023-02-20 |