| NPI | 1487281259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD481762) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 71691) |
| 207Q00000X Family Medicine (Licence: DE C1-0026294) | |
| 207Q00000X Family Medicine (Licence: NJ 25MA11940200) | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2023-09-03 |