| NPI | 1396157913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA Os018408) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT016114) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2023-03-21 |