| NPI | 1265412357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS014483) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA 3610) |
| 207P00000X Emergency Medicine (Licence: IA 3610) | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2024-09-12 |