| NPI | 1851339618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD H0059884) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC DO34139) |
| 207Q00000X Family Medicine (Licence: VA 0102201407) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2021-06-16 |