| NPI | 1437530235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.139307) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT209150) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2023-11-28 |