| NPI | 1831354182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 262858) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD043538) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2026-05-08 |