| NPI | 1346450723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ MA08801000) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT190592) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2021-01-07 |