| NPI | 1972917979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0092222) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD046514) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2023-07-31 |