NPI | 1023347010 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 63883) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA08695200) |
Enumeration Date | 2009-12-22 |
Last Update Date | 2023-02-23 |