| NPI | 1750557518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 30368) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT190210) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2022-01-04 |