| NPI | 1356349187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA07494000) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA07494000) |
| 207Q00000X Family Medicine (Licence: NY 297712) | |
| 207Q00000X Family Medicine (Licence: PA MD466581) | |
| 207Q00000X Family Medicine (Licence: FL ME139685) | |
| 207Q00000X Family Medicine (Licence: MA 277926) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2019-10-22 |