| NPI | 1467980086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB10891200) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS019668) |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2020-08-11 |