| NPI | 1285900928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB10151600) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 264759) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2019-07-05 |