| NPI | 1497076673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS016522) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT013393) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2014-07-14 |