| NPI | 1902871023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA MD055157-L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD055157L) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2024-03-13 |