| NPI | 1134337686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD432618) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2008-01421) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2015-01-21 |