| NPI | 1326770298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA12730200) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT227445) |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2025-08-19 |