| NPI | 1245556083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD467451) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 52237) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2021-05-20 |