| NPI | 1174685689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD433327) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT185801) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2013-09-07 |