| NPI | 1760446736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL MD34444) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD039541E) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2022-07-21 |