| NPI | 1184985905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD461732) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-8570) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2017-11-06 |