| NPI | 1649844697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MT222938) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA12282000) |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2025-03-31 |