| NPI | 1821519927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD470643) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 32964) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2020-11-04 |