| NPI | 1497192751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD H0081227) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT015019) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2022-06-21 |