| NPI | 1871800607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS020439) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 267402) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2021-07-01 |