| NPI | 1821529264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0095091) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD470811) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2025-12-16 |