| NPI | 1780773929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS010961L) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA os010961l) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2022-08-02 |