| NPI | 1316939168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA07310700) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ MA73107) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2024-04-26 |