| NPI | 1437500352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS019777) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT017428) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2020-08-27 |