| NPI | 1457714818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME145796) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA10433100) |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2023-11-08 |