| NPI | 1730340167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA08638200) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE CI-0009221) |
| 207Q00000X Family Medicine (Licence: PA MD438129) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2020-10-19 |