| NPI | 1740415264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD040025) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0073026) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2023-08-10 |