| NPI | 1669000675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS021596) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101027243) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2025-08-12 |