| NPI | 1669908950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA10873700) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD471559) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2024-04-02 |