| NPI | 1952516619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0069419) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT188480) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2018-06-04 |