| NPI | 1275503286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD053135L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD053135L) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2017-01-11 |