| NPI | 1831550888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB11109200) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS018979) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2023-12-23 |