| NPI | 1659433084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA08213600) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT184781) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2021-05-17 |