| NPI | 1891444790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD491393) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C10028190) |
| Enumeration Date | 2022-03-20 |
| Last Update Date | 2025-08-21 |