| NPI | 1891421509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D014109) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT227006) |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2025-06-17 |