| NPI | 1487885430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA10185300) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 253670) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2021-07-23 |