| NPI | 1043489271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD449327) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A108239) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2021-09-24 |