| NPI | 1376022830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: WV 32006) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: PA MT222306) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2024-10-09 |