| NPI | 1417186842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA09247800) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116021677) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2024-03-14 |