| NPI | 1437808763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PA MD491542) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT224883) |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2025-08-11 |