| NPI | 1427390434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA11769800) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C1-0011843) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2023-12-06 |