| NPI | 1215382197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A160364) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA10440600) |
| 207QA0000X Family Medicine, Adolescent Medicine (Licence: CA A160364) | |
| 207QA0505X Family Medicine, Adult Medicine (Licence: CA A160364) | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2023-12-20 |