| NPI | 1033550744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102208336) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB09753200) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2024-04-17 |