| NPI | 1417248725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD202116) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA09734200) |
| 207QG0300X Family Medicine Geriatric Medicine (Licence: OR MD202116) | |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2020-11-17 |