| NPI | 1689645798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: PA MD433098) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD433098) |
| 207Q00000X Family Medicine (Licence: PA MD433098) | |
| 207Q00000X Family Medicine (Licence: SC 20103) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2011-10-20 |