| NPI | 1679537690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 13246) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS012537) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2009-02-05 |