| NPI | 1144306556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA12083900) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD070033L) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2024-11-22 |