| NPI | 1306810999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD069540L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD069540L) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2022-07-26 |