| NPI | 1588624860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA06634500) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD418686) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2020-04-21 |