| NPI | 1760945240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0102648) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD210002661) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2025-07-16 |