| NPI | 1326283532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OT012547) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MB09620600) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2025-07-01 |