| NPI | 1801388079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME MD25948) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT215237) |
| 207Q00000X Family Medicine (Licence: PA MD474653) | |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2024-06-25 |