| NPI | 1881650703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ MB07418200) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA os008092L) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2011-02-03 |