| NPI | 1629509435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS022289) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB10693200) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2022-12-06 |