| NPI | 1538112784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0010143) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD042587-L) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2017-11-06 |