| NPI | 1942933577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD490030) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2022025387) |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2025-06-09 |