| NPI | 1447578802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB09658500) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD H0080430) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2022-01-07 |