| NPI | 1467462333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD419145) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC NC9400405) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2012-05-04 |