| NPI | 1528126844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0003527) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD042840E) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2024-06-25 |