| NPI | 1215298682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA MD455515) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT201939) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2021-05-03 |