| NPI | 1841467883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD-435548) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME125015) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2021-07-14 |