| NPI | 1871755900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0071800) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD39099) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2020-12-10 |