| NPI | 1033305917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 065060) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT190213) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2022-01-10 |