| NPI | 1528099462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2006-01488) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB05664900) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2013-05-10 |