| NPI | 1326367988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA09738100) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD449604) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2021-04-26 |