| NPI | 1891082467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME119051) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT200584) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2023-01-19 |