| NPI | 1619060902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA05565600) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD047432L) |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2020-08-27 |