| NPI | 1184153199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: NJ 25MA11047300) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 226886) |
| 207Q00000X Family Medicine (Licence: NJ 25MA11047300) | |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2024-05-03 |