| NPI | 1982136842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD048417) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A161685) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2020-08-18 |