| NPI | 1861408098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD037461E) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD37461E) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2013-11-20 |