| NPI | 1417972746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD483242) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 071272) |
| 207Q00000X Family Medicine (Licence: NY NY203755) | |
| 207Q00000X Family Medicine (Licence: MO 2017030494) | |
| 207Q00000X Family Medicine (Licence: PA BP4558536) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2024-07-16 |