| NPI | 1528294402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD440321) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 252720) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2010-09-28 |