| NPI | 1295937027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C7-0003791) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS015280) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2021-03-25 |