| NPI | 1861606436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD432681) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA08294700) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2026-05-23 |