| NPI | 1073540464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD422569) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE c10007360) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2017-01-27 |