| NPI | 1538587563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA10005700) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 287545) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2020-09-28 |