| NPI | 1922038199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS011910) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB07668300) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2022-11-28 |