| NPI | 1235498064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA10132200) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: MA 272986) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2024-11-12 |