| NPI | 1164443412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA MD054725L) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD054725L) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2019-10-24 |