| NPI | 1689299307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD480591) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT220060) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2024-01-19 |