NPI | 1497160022 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA MD038756Y) |
Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: PA MD038756Y) |
Enumeration Date | 2014-06-23 |
Last Update Date | 2021-07-30 |