| NPI | 1003806977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA MD039267L) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME158311) |
| 207Q00000X Family Medicine (Licence: PA MD039267L) | |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2023-11-08 |