| NPI | 1255549796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD434624) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT187193) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2015-10-06 |