| NPI | 1750871851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD487188) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 313963) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2025-03-10 |