| NPI | 1518302603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OH 35.129188) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT203740) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2021-09-08 |