| NPI | 1962994475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA MD473632) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD473632) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2023-06-26 |