| NPI | 1558709337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D83979) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT204810) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2021-06-11 |