| NPI | 1417172461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: PA MD430401) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD430401) |
| 207Q00000X Family Medicine (Licence: OH 35089693) | |
| 207Q00000X Family Medicine (Licence: PA mt184315) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2017-10-04 |