| NPI | 1881854461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD460103) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 237498.) |
| 207Q00000X Family Medicine (Licence: MS 21700) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2017-03-21 |