| NPI | 1477509354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD428318) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 28679) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2013-05-29 |