| NPI | 1760638464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD044997E) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD044997E) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2010-04-06 |