| NPI | 1306856612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ MB72812) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: PA OS-009610L) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2019-04-19 |