| NPI | 1316970403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD-049262-L) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA MD-049262-L) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD-049262-L) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2014-12-09 |