| NPI | 1992153407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0088020) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD047667) |
| 207Q00000X Family Medicine (Licence: VA 0101267794) | |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2026-07-14 |