| NPI | 1255629424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA09811300) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MR-1178) |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: NJ 25MA09811300) | |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2022-02-15 |