| NPI | 1396921821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NY 263907) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NJ 25MA 0664490) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2019-01-17 |