| NPI | 1326220286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD435184) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101242491) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2014-03-21 |