| NPI | 1780827568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD 60236696) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD043569) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2021-03-25 |