| NPI | 1831713270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS023023) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT019864) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2023-09-05 |