| NPI | 1205032364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01064807A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA09546700) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-13 |