| NPI | 1477900041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME140377) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA10574800) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2024-03-11 |