| NPI | 1730672692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB11068400) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT018663) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2026-03-03 |