NPI | 1760914113 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS020926) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ P19-01027) |
Enumeration Date | 2017-04-03 |
Last Update Date | 2021-12-02 |