NPI | 1508066374 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD433824) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD MD0071781) |
Enumeration Date | 2007-07-20 |
Last Update Date | 2020-02-03 |