| NPI | 1447265244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA08792700) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 237753) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2012-01-12 |