| NPI | 1013412212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD474060) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT216740) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2022-05-05 |