| NPI | 1346700663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0026455) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD483620) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2024-03-27 |