| NPI | 1831710185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PA MD479677) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD479677) |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2024-05-17 |