| NPI | 1568559029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M10681) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD435743) |
| 207Q00000X Family Medicine (Licence: PA MT188205) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2024-07-29 |