| NPI | 1538133871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS012923) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34008643) |
| 207Q00000X Family Medicine (Licence: PA 05012923) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2022-07-29 |