| NPI | 1952346983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS012360) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS012360L) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2023-08-04 |