| NPI | 1548522626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD453911) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD453922) |
| 207Q00000X Family Medicine (Licence: NY 280037-1) | |
| 207Q00000X Family Medicine (Licence: PA MT202350) | |
| 207Q00000X Family Medicine (Licence: DE c1-0012585) | |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2022-06-14 |