| NPI | 1881907673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD460028) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI 14394) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2017-05-05 |