| NPI | 1255642930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C2-0013228) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD H0075972) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207Q00000X Family Medicine (Licence: NJ 25MB09205500) | |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2026-05-11 |