| NPI | 1922018761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101245906) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD034901) |
| 207Q00000X Family Medicine (Licence: MD D0061757) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2014-04-29 |