| NPI | 1124605324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA13064200) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME162544) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2026-07-07 |