| NPI | 1912976705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C2-0024357) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS009604L) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2024-03-18 |