| NPI | 1841782687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS023455) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND RL15163) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2024-07-24 |