| NPI | 1700076429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301093983) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT189132) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: HI MD-15603) | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MI 4301093983) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: MI 4301093983) | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2016-10-10 |