| NPI | 1376663815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA MD436114) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT188740) |
| 207Q00000X Family Medicine (Licence: PA MD436114) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2014-11-18 |