| NPI | 1578069134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD477542) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA MD477542) |
| 207Q00000X Family Medicine (Licence: WI 73130-20) | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2022-06-06 |