| NPI | 1669908083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD468682) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT213086) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2020-07-17 |