| NPI | 1750905022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS022716) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT020029) |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2024-04-18 |