| NPI | 1447710348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB11784900) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS020969) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2023-07-11 |