| NPI | 1346546090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS015888) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT01795) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2024-08-22 |