| NPI | 1760672828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD438930) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT190828) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA MD438930) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2016-09-08 |