NPI | 1558723353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 300474) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA12681400) |
Enumeration Date | 2016-03-22 |
Last Update Date | 2025-08-12 |