| NPI | 1437460888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA 05015867) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT013647) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2017-12-21 |