| 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 |