| NPI | 1992017271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS015913) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 006825) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2020-12-13 |