| NPI | 1144402678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: NJ 25MA04701600) |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine (Licence: NY 169689) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2011-06-15 |