| NPI | 1013264589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD471430) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D80697) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2024-09-06 |