| NPI | 1851509012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0071095) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD038507) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2010-10-13 |