| NPI | 1962679183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD434862) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C1-0009225) |
| 207Q00000X Family Medicine (Licence: PA MD 434862) | |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2013-03-15 |