| NPI | 1467676122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D72289) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD430565) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2012-05-22 |