| NPI | 1912115429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C2-0011629) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS014220) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2018-05-23 |