| NPI | 1851687305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS016275) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT013919) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2019-01-29 |