| NPI | 1154426500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0007889) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD429383) |
| 207Q00000X Family Medicine (Licence: MD D0064271) | |
| 207Q00000X Family Medicine (Licence: PA MD429383) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2024-06-25 |