| NPI | 1821449349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB10474300) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA OS020089) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2021-05-18 |