| NPI | 1033474861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS018592) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT011487) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2024-01-16 |