| NPI | 1629338231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA10581300) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD453908) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2019-07-02 |