| NPI | 1659699437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 19210) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD448316) |
| 207Q00000X Family Medicine (Licence: DE C1-0011824) | |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2018-10-11 |