| NPI | 1336585710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA10460900) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.127622) |
| 207Q00000X Family Medicine (Licence: OH 35.127622) | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2021-05-25 |