| NPI | 1053624627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ NJDCATEMP-014538) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA SP010890) |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2020-11-16 |