| NPI | 1013398486 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA MD471595) | 
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL ME167217) | 
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: GA 100529) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: OH 35.154740) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: VA 0101287566) | |
| 207Q00000X Family Medicine (Licence: PA MT209468) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: MD D0102464) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: NJ 25MA12168900) | |
| Enumeration Date | 2015-06-11 | 
| Last Update Date | 2025-10-07 |