NPI | 1245511344 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0055610) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB09379800) |
Enumeration Date | 2011-09-01 |
Last Update Date | 2024-09-26 |