| NPI | 1437590916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MT204582) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.127968) |
| 207Q00000X Family Medicine (Licence: NE CP910) | |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2025-11-24 |