| NPI | 1750957809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD481923) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA 510582) |
| Enumeration Date | 2021-05-31 |
| Last Update Date | 2024-07-24 |