| 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 | 2015-10-23 |