| NPI | 1841502713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D82140) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD453094) |
| 207Q00000X Family Medicine (Licence: MO 2013028509) | |
| 207Q00000X Family Medicine (Licence: PA MT198396) | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2022-03-09 |