| NPI | 1134544307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: NJ 25MB09797300) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 281355) |
| 207Q00000X Family Medicine (Licence: NJ 25MB09797300) | |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2024-03-27 |