| NPI | 1376063735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0024124) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT214501) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2021-05-14 |