| NPI | 1770608929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD036199) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC C50611319) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2018-01-30 |