| NPI | 1285213785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 332317) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 169892) |
| 207Q00000X Family Medicine (Licence: NJ 25MA12486100) | |
| Enumeration Date | 2021-04-03 |
| Last Update Date | 2024-11-20 |