| NPI | 1841389863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA06202800) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD042523L) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2024-08-19 |