| 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 |