| NPI | 1538448709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS017327) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA OT014364) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2021-03-29 |