| NPI | 1285809350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 96642) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD440901) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2023-12-14 |