| NPI | 1598764383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD021971E) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD-021971-E) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2023-01-31 |