| NPI | 1255374179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 232787) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA08393800) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2024-10-01 |