| NPI | 1598980724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD433546) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT186591) |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2015-05-05 |