| NPI | 1588860811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N3558) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT-188942) |
| Enumeration Date | 2007-06-24 |
| Last Update Date | 2024-02-29 |