| NPI | 1023446432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD470767) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.139115) |
| 207Q00000X Family Medicine (Licence: NY 275765) | |
| 207Q00000X Family Medicine (Licence: NY 00000000000) | |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2022-09-27 |