| NPI | 1073524542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA07131600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA071316) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2024-05-07 |