| NPI | 1285688333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA 039061L) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA04494500) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2007-07-08 |