| NPI | 1407230428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA12010700) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 296546) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2024-07-05 |