| NPI | 1235499153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS018456) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS11967) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2018-04-23 |