| NPI | 1467815324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS022940) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102205836) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2023-08-15 |