| NPI | 1528680741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB11962300) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT020076) |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2023-12-13 |