| NPI | 1518632173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0026924) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT224639) |
| Enumeration Date | 2021-08-14 |
| Last Update Date | 2024-10-25 |