| NPI | 1093133746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA10342700) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NJ 25MA10342700) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2023-11-08 |