| NPI | 1144302530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA07315200) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ MA073152) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2023-02-16 |