| NPI | 1033162854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-14650) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA08025500) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2023-08-15 |