| NPI | 1942615059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS019341) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB10339100) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NJ 25MB10339100) | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2021-03-02 |