| NPI | 1609038082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME155541) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT192576) |
| 207Q00000X Family Medicine (Licence: IA 39519) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2023-07-26 |