| NPI | 1477545952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB12173300) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS 008612 L) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA os008612L) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: NJ 25MB12173300) | |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2024-04-01 |