| NPI | 1427261171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 6927300) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0064725) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2025-11-20 |