| NPI | 1073747788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 047312) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT188452) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2023-11-10 |