| NPI | 1114951977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.123872) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA ML002776) |
| 207Q00000X Family Medicine (Licence: PA MD431297) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2016-12-28 |