NPI | 1013970847 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD070690L) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C1-0010236) |
Enumeration Date | 2006-04-11 |
Last Update Date | 2021-04-21 |