NPI | 1467611772 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C7-0004040) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB08967500) |
Enumeration Date | 2008-06-03 |
Last Update Date | 2013-11-27 |