| NPI | 1700833530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS011060) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB06985400) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2016-11-09 |