| NPI | 1134103666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD061835L) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD061835L) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2012-11-06 |