| NPI | 1477687200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA07779600) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD466310) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2024-04-18 |