| NPI | 1770826364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0081394) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101261173) |
| 207Q00000X Family Medicine (Licence: DC MD044671) | |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2017-04-11 |