| NPI | 1881128825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS020334) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT17676) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2023-09-07 |