| NPI | 1891971156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA MD432232) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: PA MD432232) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2022-12-13 |