| NPI | 1699077909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB05948700) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS008386L) |
| 207Q00000X Family Medicine (Licence: MD H0076671) | |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2024-08-08 |