| NPI | 1891431540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS024857) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT021506) |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2025-08-28 |