| NPI | 1295065050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA09472900) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD441707) |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2024-09-09 |