| NPI | 1487067674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NJ 25MB09975800) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB09975800) |
| 207R00000X Internal Medicine (Licence: NJ 25MB09975800) | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2024-02-05 |