NPI | 1356660476 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME122170) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA09276000) |
Enumeration Date | 2010-05-28 |
Last Update Date | 2024-06-14 |