| NPI | 1235215567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS-013705) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OSO13705) |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2012-02-09 |