| NPI | 1912404096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD210001414) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A163704) |
| 207Q00000X Family Medicine (Licence: MD D0093811) | |
| 207Q00000X Family Medicine (Licence: VA 0101274678) | |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2023-03-29 |