| NPI | 1194942805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA08844800) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD2009-0727) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2011-10-18 |