| NPI | 1811950793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS-007639L) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS-007639-L) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2024-05-24 |