| NPI | 1073776340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA09476400) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY A262951) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2016-07-19 |