| NPI | 1548405913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MR1155400) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS014601) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2022-10-19 |