NPI | 1295991354 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA11385300) |
Additional Taxonomies | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: CA A109209) |
207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: NJ 25MA11385300) | |
Enumeration Date | 2008-07-29 |
Last Update Date | 2024-04-30 |