| NPI | 1528595287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS020910) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C2-0013402) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2021-02-22 |