| NPI | 1912470014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA SP019160) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: PA SP019160) |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-01-10 |