| NPI | 1518314228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD466596) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 94-08908) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2020-08-25 |