| NPI | 1861438814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD059523L) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD05955231) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: PA MD059523L) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2015-11-23 |