| NPI | 1689892143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01080857A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA08291500) |
| 207Q00000X Family Medicine (Licence: PA MD430114) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: NJ 25MA08291500) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2021-06-22 |