| NPI | 1619135530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD443388) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA09098700) |
| 207Q00000X Family Medicine (Licence: NY 313603) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2024-06-20 |