| NPI | 1386799245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS014421) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ MB084197) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2021-04-02 |