| NPI | 1255518437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WI 54654) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA MT189909) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: WI 54654) | |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2014-09-09 |