| NPI | 1841365236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60036013) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD038784) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2015-10-21 |