| NPI | 1528292612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD461559) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0075023) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2020-05-21 |