NPI | 1811208028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD041437) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116022792) |
Enumeration Date | 2010-06-23 |
Last Update Date | 2013-09-17 |