| NPI | 1508546052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 1806) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT229637) |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2024-06-30 |