| NPI | 1518057702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD439982) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M5662) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-10-29 |