| NPI | 1730131129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS006060E) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD H0046172) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2024-01-31 |