| NPI | 1437321460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 249981) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25ma08391600) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2013-04-03 |