| NPI | 1164498093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA05954300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD459599) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2022-03-22 |