| NPI | 1619182888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS013865) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C2-0009294) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2024-05-23 |