| NPI | 1144238924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA06681100) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 205727) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2023-04-11 |