| NPI | 1174522288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C2-0007018) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ MB077652) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2008-12-03 |