| NPI | 1902917628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0042719) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101041759) |
| 207Q00000X Family Medicine (Licence: DC MD16892) | |
| 282N00000X General Acute Care Hospital (Licence: MD D0042719) | |
| 282N00000X General Acute Care Hospital (Licence: DC MD16892) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-04-20 |