| NPI | 1538506266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD179807) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT204726) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2016-10-05 |