| NPI | 1508919549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA08384700) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 214716) |
| 207X00000X Orthopaedic Surgery (Licence: NJ 25MA08384700) | |
| 208D00000X General Practice (Licence: NJ 25MA08384700) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2011-06-29 |