Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | MD464330 | PA |
NPI | 1033598891 |
---|---|
Provider Name | Elyse Goveia |
First Address | Lancaster, PA 17602-2250 |
Second Address | Lancaster, PA 17602-2250 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2015 |
Last Update Date | 09/09/2019 |