| NPI | 1235367236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD447045) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 135462) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2025-06-13 |