| NPI | 1831233352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD069371L) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA12325100) |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2024-11-15 |