| NPI | 1437293966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD H67624) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS012862) |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2024-02-15 |