| 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 | 2025-09-17 |