| NPI | 1881044469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA11342600) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD468480) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2022-04-08 |