| NPI | 1013103910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD471457) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 048103) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2022-10-04 |