| NPI | 1326221771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N1823) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA08265000) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2017-01-25 |