| NPI | 1497723944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD422642) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ MA77401) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2021-05-20 |