| NPI | 1003058074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 277337) |
| Additional Taxonomies | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: NY 277337) |
| 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: NJ 25MA09669700) | |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2024-08-29 |