| NPI | 1265811939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: NJ 25MA11502500) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD464315) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2023-11-29 |