| NPI | 1003169814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NH 21643) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT202492) |
| 207Q00000X Family Medicine (Licence: NH 21643) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA MD456243) | |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2021-10-12 |