| NPI | 1427121631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2021-00105) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA03933400) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2022-06-09 |