| 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 |