| NPI | 1558357996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA08344100) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NJ 25MA08344100) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2024-04-11 |