NPI | 1376505057 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ MA08466600) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD418025) |
Enumeration Date | 2006-04-06 |
Last Update Date | 2020-10-19 |