| NPI | 1609800929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD045284L) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: PA MD045284L) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD045284L) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2018-01-05 |