| NPI | 1255534673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB08243800) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS014214) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2018-09-11 |