| NPI | 1013398486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA MD471595) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT209468) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2022-03-10 |