| NPI | 1275160749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 1275160749) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA11917100) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2024-11-11 |