| NPI | 1568679595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-16370) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT189028) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2024-03-14 |