| NPI | 1053792150 |
|---|---|
| Former Name | MARIA DORMANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD464888) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT208539) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2026-03-23 |