| NPI | 1417510983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD476262) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A178810) |
| 207Q00000X Family Medicine (Licence: PA MT217491) | |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2024-04-30 |