| NPI | 1801530837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD491077) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT225286) |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2025-08-04 |