| NPI | 1275949539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA10593600) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND RL13245) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2020-10-19 |