| NPI | 1518167287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD449280) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT196827) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2020-08-17 |