| NPI | 1023547163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA11732700) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD472740) |
| 207Q00000X Family Medicine (Licence: PA MT214041) | |
| Enumeration Date | 2017-06-10 |
| Last Update Date | 2023-12-16 |