| 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 |