| NPI | 1467514802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL Md37020) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD435367) |
| 207Q00000X Family Medicine (Licence: PA MT188604) | |
| 207Q00000X Family Medicine (Licence: MD D80148) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2018-11-08 |