| NPI | 1225249618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD439541) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT191198) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2011-01-28 |