NPI | 1467622712 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0071031) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA08365700) |
Enumeration Date | 2008-03-03 |
Last Update Date | 2015-07-01 |