| NPI | 1871769638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS014970) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT012129) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2024-01-25 |