| NPI | 1306040373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD439263) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 54526) |
| 207Q00000X Family Medicine (Licence: NC 141045) | |
| 207P00000X Emergency Medicine (Licence: NC 141045) | |
| 207Q00000X Family Medicine (Licence: NJ 25MA08755800) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2024-05-06 |