| NPI | 1245368554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA07379000) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA07379000) |
| 207R00000X Internal Medicine (Licence: NJ 25MA07379000) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: NY 25MA07379000) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2025-02-18 |