| NPI | 1841510161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D75974) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116022584) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2015-04-01 |