| NPI | 1831553080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD047107) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 285614) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2023-12-06 |