| NPI | 1902907751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD037269) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D66401) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2011-12-07 |