| NPI | 1285879981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101254065) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA08798700) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2019-03-26 |