| NPI | 1962036624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC NP1019860) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0024190099) |
| 207Q00000X Family Medicine (Licence: MD R214420) | |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2025-06-26 |