| NPI | 1881696151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS013675) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 102201585) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2020-10-06 |