| NPI | 1124043930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA08342100) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 229880-1) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2019-07-08 |