| NPI | 1689092884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD462329) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA 390200000) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2020-08-26 |