| NPI | 1053487496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MD031068E) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD031068E) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2015-07-28 |