| NPI | 1407828486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD431001) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D65453) |
| 207P00000X Emergency Medicine (Licence: SC 19454) | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2024-01-26 |