| NPI | 1497313746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS022368) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT019075) |
| Enumeration Date | 2019-06-02 |
| Last Update Date | 2022-08-24 |