| NPI | 1477524544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 268660) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA07784100) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2021-06-24 |