| NPI | 1134440027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS016440) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT013442) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2023-12-05 |