| NPI | 1265429781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ MA61659) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ MA61659) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2011-11-29 |