| NPI | 1336344399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD437517) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA12827300) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2025-09-22 |