| NPI | 1053748236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB09780800) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MB09780800) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2020-09-01 |