| NPI | 1134448855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD449232) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0079113) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2025-02-10 |