| NPI | 1528222155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB11203600) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 269763) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2024-06-25 |