| NPI | 1194788083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD058307-L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD058307L) |
| 207Q00000X Family Medicine (Licence: PA MD058307L) | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2021-03-29 |