NPI | 1043258403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA MD424785) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD424785) |
Enumeration Date | 2006-06-04 |
Last Update Date | 2024-10-25 |