| NPI | 1235361148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0011234) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD474249) |
| 207Q00000X Family Medicine (Licence: IL 125-057199) | |
| 207Q00000X Family Medicine (Licence: FL ME113114) | |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2025-11-21 |