| NPI | 1316353048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 289696) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT206617) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2023-10-02 |