| NPI | 1255413100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: PA MD435310) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 047682) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2015-06-05 |