| NPI | 1326476367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 82791) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA09423300) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2022-07-21 |