| NPI | 1578500468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB07788800) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS012087) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2007-07-08 |