| NPI | 1407847486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: NJ 25MA11079200) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 11265) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2021-09-15 |