| NPI | 1760445506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD048901) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101241288) |
| 207Q00000X Family Medicine (Licence: MD D93262) | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2025-04-15 |