| NPI | 1831417427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD449778) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT197197) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2023-04-18 |