Individual
MIA EDGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4494 PALMER RD. N, BETHESDA, MD 20814
(301) 295-4000
Mailing address
4494 PALMER RD. N, ANESTHESIOLOGY DEPT, BETHESDA, MD 20901
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
0101261131
VA
Other
Enumeration date
03/19/2015
Last updated
08/29/2023
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