| NPI | 1669096004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD479691) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: PA MD479691) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2024-02-27 |