| NPI | 1477708329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS015060) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT012391) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2018-03-29 |