| NPI | 1033859434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD495642) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 1024387) |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2026-07-02 |