| NPI | 1336594043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD485605) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C1-0013102) |
| Enumeration Date | 2016-05-01 |
| Last Update Date | 2024-08-28 |