| NPI | 1013182450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD433306) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA 09061500) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2012-04-10 |