| NPI | 1336533454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB10247600) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS019481) |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: NJ 25MB10247600) | |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2022-02-16 |