| NPI | 1487989844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD446787) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT195141) |
| 207Q00000X Family Medicine (Licence: NC 2013-02418) | |
| 207Q00000X Family Medicine (Licence: CT 53726) | |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2017-05-23 |